Centers for Disease Control said OH was one of three new states reporting this week, in an expanding outbreak that started earlier this month. Forty-nine people have been hospitalized nationwide since the illnesses started in mid-May.
The 66 cases in the bi-state area account for nearly half the 141 cases nationwide, and the 26 cases reported in New York City are the highest of any locality, officials said.
Thirty-two more illnesses have been counted in the salmonellosis outbreak linked to maradol papayas from the Carica de Campeche farm in Mexico.
Cases in NY almost tripled to 36 since the last report on July 21 and New Jersey cases have more than doubled to 26.
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Most people infected with salmonella develop diarrhea, fever and abdominal cramps within 12 to 72 hours of infection. They have tied Caribena, Cavi, and Valery brands to the farm, and the U.S. Food and Drug Administration is trying to identify other possible brands.
Some companies have issued a recall of the brands.
The illness usually lasts four to seven days and most people recover, health officials say.
Among 98 people with available information, 67% are Hispanic.
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Illnesses that occurred after July 14, 2017, might not be reported yet due to the time it takes between when a person becomes ill and when the illness is reported.
Papaya traced to the Carica de Campeche farm in Campeche, Mexico, appears to be the likely source, the FDA said Monday. On July 19, Maryland reported that some samples of Caribeña brand's yellow Maradol papayas tested positive for salmonella in its preliminary examination and warned consumers to avoid consuming the fruit.
HLB Specialties, a US papaya importer, released a statement Friday that emphasized the differences between brands, varieties and countries of origin.
"The outbreak is limited to one specific grower in the south of Mexico, Carica de Campeche, and the brands they distribute". If consumers aren't sure if their Maradol papaya came from the Carica de Campeche farm, they should ask the place of purchase. When in doubt, don't eat it; just throw it out.
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If there is a potential for contamination, the CDC urges consumers to sanitize refrigerators, counters and anywhere else the papaya may have been stored.